Abstract
Bezoars are accretions of indigestible material that develop within the gastrointestinal tract and occur with relative infrequency. Rarer yet, stercoral perforations of the colon (SPC) result from pressure-induced ischemia and are nearly universally associated with chronic constipation. We report only the second recorded case of a bezoar-related stercoral perforation of the colon, the first to result from ingestion of cloth, and the first in a pediatric patient. • Bezoars classically occur in young females with psychiatric disturbances. • Major constituents are hair or vegetable fibers but other materials can contribute. • Stercoral perforations, often associated with constipation, may result from bezoars. • Pica will rarely be volunteered by a patient or family. • A broad differential is required to thoroughly evaluate pediatric abdominal pain.
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